Adult Chronic Sinusitis and Its Complications

Facial pain or pressure†

Headaches

Facial congestion or fullness

Fever (all nonacute)

Nasal obstruction or blockage

Halitosis

Nasal discharge/purulence/
discolored postnasal drainage

Fatigue

Hyposmia or anosmia

Dental pain

Purulence in nasal cavity on examination

Cough

Fever‡

Ear pain, pressure, or fullness

*The presence of two or more major factors or one major and two or more minor factors with symptoms lasting > 12 weeks is strongly suggestive of chronic rhinosinusitis. Reprinted with permission from Lanza and Kennedy.¹⁴
†Facial pain/pressure alone does not constitute a suggestive history for rhinosinusitis in the absence of another major nasal symptom or sign.
‡Acute rhinosinusitis only.